Individual
LISA ANN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4514 SENTINEL PASS, FITCHBURG, WI 53711-4727
(608) 438-1571
Mailing address
4514 SENTINEL PASS, FITCHBURG, WI 53711-4727
(608) 438-1571
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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